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台湾全民健康保险新共付额政策:福利增进还是福利损失?

The new co-payment policy under Taiwan's National Health Insurance: welfare gain or welfare loss?

机构信息

Assistant Professor, Department of Leisure Business Management, Nan Kai Institute of Technology, 568 Chung Cheng Road, Tsao Tun, 542, Nan Tou County, Taiwan, Republic of China.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2008 Apr;8(2):141-9. doi: 10.1586/14737167.8.2.141.

DOI:10.1586/14737167.8.2.141
PMID:20528403
Abstract

This paper provides a welfare assessment of the new Taiwan National Health Insurance (NHI) co-payment policy, enacted July 15, 2005. This policy creates a pricing mechanism designed to entice patients to first seek outpatient care at local clinics rather than hospitals. Our empirical findings suggest that while the new policy results in a net welfare gain, it is far less than the expected annual growth in NHI medical expenditure. Thus, additional policy changes will be required to deal with Taiwan's NHI future financial shortfalls.

摘要

本文对 2005 年 7 月 15 日生效的新台湾全民健康保险(NHI)共同支付政策进行了福利评估。该政策建立了一种定价机制,旨在促使患者首先在当地诊所而不是医院寻求门诊治疗。我们的实证研究结果表明,尽管新政策带来了净福利收益,但远低于 NHI 医疗支出的预期年增长率。因此,需要进行额外的政策改革来应对台湾 NHI 的未来财务短缺问题。

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